Indications for implant removal after fracture healing: a review of the literature

Vos, Dagmar; Verhofstad, M.H.J.

doi:10.1007/s00068-013-0283-5

Cited by 64 publications

(71 citation statements)

References 68 publications

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“…Other investigations have also supported this result [5,8]. Vos et al [7] reported that implant removal is rarely indicated in asymptomatic patients because of complications such as neurovascular injury or refracture. Busam et al [1] reported that implant removal may be more difficult and may result in complications of neurovascular injury, refracture, recurrent deformity.…”

Section: To Remove the Implant Or Not?mentioning

confidence: 55%

“…In addition, due to the higher risk of complications during a second operation for implant removal (refracture/neurovascular injury/infection, etc.) [7], we do not recommend implant removal as a routine procedure after bone union unless there is significant discomfort or functional disturbance due to the implant.…”

Section: To Remove the Implant Or Not?mentioning

confidence: 95%

“…Whether to remove the plate or not after bone union remains controversial [1]. Refracture has been reported in some studies [2][3][4][5][6][7], but only two articles have discussed the risk factors for refracture in adult forearm fractures after bone union [7,8]. The purpose of this study was to identify possible risk factors of refracture, which may help in decision-making regarding implant removal and thus prevent refracture.…”

Section: Introductionmentioning

confidence: 97%

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Removal of forearm plate leads to a high risk of refracture: decision regarding implant removal after fixation of the forearm and analysis of risk factors of refracture

Yao

Lin

Tarng

et al. 2014

Arch Orthop Trauma Surg

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Section: To Remove the Implant Or Not?mentioning

confidence: 55%

Section: To Remove the Implant Or Not?mentioning

confidence: 95%

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Removal of forearm plate leads to a high risk of refracture: decision regarding implant removal after fixation of the forearm and analysis of risk factors of refracture

Yao

Lin

Tarng

et al. 2014

Arch Orthop Trauma Surg

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“…Hardware removal has been a debated topic in recent years, due to the numerous variables involved in the procedure. Vos et al 15 in a recent review concluded that the indication to remove implants after fracture healing should exist only in symptomatic patients and after a proper informed consent. In our case the evident infection and the non-union of the bone segments represented valid and unquestionable indications to operate a second time.…”

Section: Discussionmentioning

confidence: 99%

The use of virtual surgical planning and navigation in the treatment of orbital trauma

Herford

Miller

Lauritano

et al. 2017

Chinese Journal of Traumatology

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Virtual surgical planning (VSP) has recently been introduced in craniomaxillofacial surgery with the goal of improving efficiency and precision for complex surgical operations. Among many indications, VSP can also be applied for the treatment of congenital and acquired craniofacial defects, including orbital fractures. VSP permits the surgeon to visualize the complex anatomy of craniofacial region, showing the relationship between bone and neurovascular structures. It can be used to design and print using three-dimensional (3D) printing technology and customized surgical models. Additionally, intraoperative navigation may be useful as an aid in performing the surgery. Navigation is useful for both the surgical dissection as well as to confirm the placement of the implant. Navigation has been found to be especially useful for orbit and sinus surgery. The present paper reports a case describing the use of VSP and computerized navigation for the reconstruction of a large orbital floor defect with a custom implant.

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“…While some favour routine removal, others do not. 4,11,18,21 Patients' requests and symptomatic implants are typical indications for removal.…”

Section: Introductionmentioning

confidence: 99%

Removal of locked intramedullary nails with the aid of bolts

Echem

Eyimina

2020

Int J Res Med Sci

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Indications for removal of implants in the literature include symptomatic implants, skeletally immature patients, broken and/or failed implants, soft tissue compromise, nonunion, malunion, infection, fear of carcinogenesis, peri-implant failure, prevention of post ABSTRACT Background: Removal of an intramedullary nail would require the extraction system of the inserted nail to be available. Sometimes the system is not available, and an alternative system would have to be utilised. Aim of the study was to document the removal of interlocked nails using bolts in the absence of appropriate fitting extraction system. Methods: A prospective study of consecutive patients seen by the authors between September 2016 and September 2018 in private clinics in Port Harcourt where the authors were invited to remove intramedullary nails. Bolts fitted to the proximal tips of the nails were utilized. With the aid of plier applied to the bolts and mallet, the nails were extracted. The patients' socio-demographic and information relevant to the injury were obtained. Data was analysed using SPSS version 23. Results: Fifteen patients were seen. Ages ranged from 29 to 72 years, consisting of 10 males and five females. The tibia was affected in six and the femur in nine. There were five united tibial fractures and one non-united tibial fracture, six united femoral fractures and three non-united femoral fractures. Indication for removal was mostly patients' request. Duration of surgery ranged from 1 to 4 hours. All the nails were extracted. Complications included broken nail, heterotopic calcification, bony overgrowth/ ingrowth/ongrowth around the nail and interlocking screws. There was no mortality. Conclusions: In the absence of conventional intramedullary nail extraction system, appropriate size bolts can be applied to the threaded proximal tip of nails and used for nail extraction.

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Indications for implant removal after fracture healing: a review of the literature

Abstract: Introduction The aim of this review was to collect and summarize published data

Cited by 64 publications

References 68 publications

Removal of forearm plate leads to a high risk of refracture: decision regarding implant removal after fixation of the forearm and analysis of risk factors of refracture

Removal of forearm plate leads to a high risk of refracture: decision regarding implant removal after fixation of the forearm and analysis of risk factors of refracture

The use of virtual surgical planning and navigation in the treatment of orbital trauma

Removal of locked intramedullary nails with the aid of bolts

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